Submit an ACC32 request

How to submit an ACC32 request

The ACC32 request for prior approval of treatment form is used by allied health providers to request additional treatment for clients. A new streamlined process now categorises requests as either standard or non-standard.

Criteria for a standard request

Your request will be standard and use the streamlined process if it meets all of the following criteria:

  • it’s for an accepted ACC claim
  • your request is within 12 months of the date of injury or surgery
  • this is the first additional treatment request from your clinic post injury or surgery for the claim
  • if it’s for hand splinting, costs don’t exceed $300 (excl. GST)
  • it’s for the original diagnosis.

    Please note: Your request can still be streamlined if the only change to the diagnosis is a subsequent strain, sprain or contusion (as indicated on our standard read code list (PDF 155KB)).

An ACC32 request is not required for physiotherapy and hand therapy following an ACC-funded surgery if it commences within 12 months of the surgery. Simply use post-surgery codes. Find out more about when to use these in the post-surgery physiotherapy and hand therapy treatment table below.

Make a standard request

For standard requests we don’t need a client management plan, clinical management plan, clinical notes or outcome measures.

You can request the number of treatments you believe are necessary to meet your client’s treatment and outcome needs.

There are two ways you can make a standard request:

  1. By phone
    Phone 0800 222 070 for an instant decision Monday to Friday, 7am to 7pm.
  2. Send us an ACC32 form
    Simply complete the client treatment and provider details sections of the ACC32 form and submit it:
  • by using the ACC32 web form:
    ACC32 web form
  • through your HealthLink account
  • through your practice management system (PMS).

Now that effective online and phone options are available we are moving away from using paper forms. We will continue to accept paper ACC32 applications until the current stock of these forms run out. If you want to know more about using the new processes please contact the Provider Contact Centre 0800 222 070.

Non-standard requests

If any of the standard criteria aren’t met you’ll need to complete the full ACC32 form, attach your clinical notes, outcome measures and client management plan and submit this to ACC.

Just like a standard request, you can ask for the number of treatments you believe are necessary for your client’s treatment and outcome needs.

Situations where you would make a non-standard request include:

  • the request is made more than 12 months after the date of injury or surgery
  • this is the second or subsequent additional treatment request from your clinic for this claim
  • a hand splinting request exceeds $300 (excl GST)
  • you have used all treatments available from the post-surgery codes
  • the change or addition to the diagnosis is not on the standard read code list
    Using read codes
    .

Make a non-standard request

As non-standard requests require a full form submission (clinical notes, outcome measures and a client management plan) they cannot be completed over the phone. However, all form options listed above are also relevant for non-standard forms.

You can send us the completed ACC32 form:

  • by using the ACC32 web form:
    ACC32 web form
  • through your HealthLink account
  • through your practice management system (PMS).

Now that effective online and phone options are available we are moving away from using paper forms. We will continue to accept paper ACC32 applications until the current stock of these forms run out. If you want to know more about using the new processes please contact the Provider Contact Centre 0800 222 070.

Here’s a printable reference guide that explains how the ACC32 process works and what channels you can use:

How to make an ACC32 treatment request – A3 version (PDF 155KB)

How to make an ACC32 treatment request – A4 version (PDF 153KB).

Post-surgery physiotherapy and hand therapy treatment

No prior approval is needed for physiotherapy and hand therapy treatment following an ACC-funded surgery if it commences within 12 months of surgery.

Simply use the below codes when you invoice us and make sure the treatments are completed within 12 months of the initial post-surgery consultation.

Hand therapy codes

HT11

Initial consultation post-surgery assessment and treatment

Contracted

HT12

Follow-up consultation post-surgery assessment and treatment (limit 16)

Contracted

HT13

Splinting fee post-surgery (limit $300 excl GST)

Contracted

Physiotherapy codes

PT11

Initial consultation post-surgery

Contracted

PT12

Follow-up consultation post-surgery (limit 15)

Contracted

PHY7

Treatment post-surgery (limit 16)

Cost of Treatment Regulations

Using the ACC32 process post-surgery

You only need to submit an ACC32 request post-surgery when your patient doesn’t meet the above criteria. When submitting it you will need to use the new post-surgery codes.

Submit an ACC32 when your patient:

  • Needs more than the treatments available through the new codes
  • Needs more treatment following second or subsequent surgery
  • Has had surgery over 12 months ago.

Still have questions? Check out our frequently asked questions to see if they can help:
How to use post-surgery codes – questions and answers for providers (PDF 561KB)

Questions

If you have further questions, read our questions and answers about the ACC32 process:
Questions and answers about the new ACC32 process (DOC 1.1MB)

or

Call the Provider Contact Centre on 0800 222 070.

Reviewed: 31 March 2017